Bicentennial Working Group Application Form

Required fields are marked with asterisks (*)

The City of Pembroke has a number of Committees and Boards that serve the community and help advise and inform the Mayor and Councillors on matters that affect the public. At the beginning of each term of Council, appointments are made to the City’s Committees and Boards. Over the course of the term, additional appointments may be made.

The City of Pembroke invites residents who are interested in serving on one of the City’s available committees for the remainder of the 2022-2026 Council term to submit an application. Applications will be received on an ongoing basis until all positions are filled.

In 2028, the City of Pembroke will celebrate 200 years since its founding — a milestone to honour our community’s past, celebrate the present, and inspire the future. Planning is now underway for a full year of events, projects, and legacy initiatives that will highlight Pembroke’s history, people, and culture.

We’re inviting community members to take part by joining one of our Bicentennial Working Groups. These groups will help shape key parts of the celebration, from events and heritage projects to community engagement, beautification, and promotion. We’re looking for enthusiastic residents, community leaders, artists, historians, and volunteers who want to share ideas, lend their skills, and help make this once-in-a-generation celebration a success.

The City of Pembroke is currently seeking applications for:

Bicentennial Community Engagement and Education Working Group
- Foster participation, pride, and ownership among residents, students, and community organizations.
Bicentennial Funding and Partnerships Working Group
- Secure sustainable funding through a combination of City investment, grants, sponsorships, and donations.

In accordance with Municipal Freedom of Information and Protection of Privacy Act, RSO 1990, c. M56 (MFIPPA), this information is being collected for the purposes of selecting committee members to participate in a City Committee. Answers to the questions below will help ensure committee members reflect a cross-section of different users.

Name

Mailing Address

Municipality

Phone Number

Email Address

What working group is your first preference?

Bicentennial Community Engagement and Education Working Group

Bicentennial Funding and Partnerships Working Group

What other working groups are you interested in applying to?

Bicentennial Community Engagement and Education Working Group

Bicentennial Funding and Partnerships Working Group

None

When are you available to attend meetings? (Check all that apply.)

Morning

Afternoon

Evening

Please identify your qualifications and the reasons you are interested in serving on the working group. Include relevant information such as expertise, education and/or real-life experiences as it relates to the working group that you have chosen.

Please list skillsets that you would bring to this committee that would be an asset.

Please accept our sincerest appreciation for expressing interest in serving the community by volunteering your time as a member of a City Committee/Board. You will be notified accordingly once Council has reviewed all applications received.

For more information on City of Pembroke Committees and Boards, visit our website.

Personal information contained on this form is collected under the authority of the Corporation’s procedure for local Committee/Board appointments and will be used to determine eligibility and qualifications for serving on a local Board or Committee. Please note that the names of all applicants for Committees and Boards may be released as public information.